Ann L Vercoutere, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G0426010 Issued in CA

Practice address

1363 S Eliseo Dr
Suite a
Greenbrae, CA 94904-2012

Phone

(415) 461-2426

Fax

(415) 461-2145

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549
  Medicare reassignment NPD
• Surgical Affiliates of California

  • Surgery Physician
  • Los Banos, CA
  • NPI 1932440781
  Medicare reassignment NPD
• Acute Care Surgery Medical Group of New Mexico, Inc.

  • Trauma Surgery Physician
  • Albuquerque, NM
  • NPI 1932441300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1972515971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 S ELISEO DR",
            "address_2": "SUITE A",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042012",
            "telephone_number": "415-461-2426",
            "fax_number": "415-461-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 S ELISEO DR",
            "address_2": "SUITE A",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042012",
            "telephone_number": "415-461-2426",
            "fax_number": "415-461-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCOUTERE",
        "first_name": "ANN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G0426010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter S Uzelac, M.D.
• Frank Van Der Heusen, MD
• Albert A Varner, MD
• Dina Vaynberg, M.D.
• Sruthi Veeragandham
• Yadira Carmen Vigil, LMFT
• Molly Rose Vila, MD
• Jaspreet Kaur Vohra, MD
• Kirsten Jennifer Voss, M.D.
• Lauren Brooke Voss, PA-C

• Surgery Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.